For many women, perimenopause can hit your body like a tonne of bricks, bringing a lot of unexpected changes and challenges. But help is available at North West Healthy Women.
Changes during perimenopause are unpredictable, and no two women experience this stage in their lives the same way. Some notice subtle shifts over time, while others face more sudden and obvious symptoms. Wherever you are in your journey, knowing what to expect and how to support your body can make all the difference.
Your physiotherapist can be a valuable part of your care team to help you stay mobile, strong, and comfortable as your body adjusts.
What is perimenopause and what might I expect?
Perimenopause is the lead up to menopause and can last anywhere from 2 to 8 years. During this time, hormone levels fluctuate, leading to a range of symptoms. Some women experience only mild changes, while others notice more significant shifts which can be alarming
Common pre-menopausal symptoms:
- Irregular and heavier than usual periods
- Hot flashes and night sweats
- Mood swings, anxiety and depression
- Changes in sex drive
- Brain fog, difficulty concentrating or remembering things
- Sleep disturbances and fatigue
- Vaginal dryness
- Joint and muscle pain
- Changes to the pelvic floor muscles and their function
- Weight gain and changes in body composition
These symptoms can come and go, vary in intensity, and present in different combinations for each person. Understanding what’s happening and your management options can help improve your quality of life as you navigate this time of change.
How to prepare for perimenopause
While you can’t avoid perimenopause completely, knowing the symptoms to be aware of and the options for treatment can help you transition through this period more smoothly.
Our top tips include:
- Nourish your body: A diet rich in calcium and vitamin D supports bone health.
- Move regularly: Exercise helps maintain strength, manage weight, and support joint health.
- Manage stress: Yoga, meditation, or simple breathing exercises can help regulate mood.
- Prioritise sleep: A good nighttime routine can improve rest and reduce fatigue.
- Seek support: Whether from a physio, your GP, or women’s health specialist, expert guidance can help you navigate symptoms effectively.
How can a physio help during the pre-menopausal stage?
Physiotherapy isn’t only useful for injuries. A physio can also help you stay (or build up to being) active and confident as your body changes.
At North West Healthy Women, we take a holistic approach to perimenopause and menopause care. We understand that this process looks different for everyone, and our goal is to give you practical, effective solutions that fit your lifestyle.
We can provide support to help ease the physical changes of perimenopause and menopause. This may include personalised exercise plans, pelvic floor assessment and strengthening, posture and mobility work, pain management strategies, and lifestyle changes.
Beyond perimenopause: what to expect post menopause
Once you’ve gone 12 months without a period, you’re officially in post menopause. While some perimenopause symptoms fade, others linger:
- Vaginal dryness and discomfort during sex
- Changes in libido
- Insomnia or disrupted sleep
- Dry skin and hair loss
- Urinary incontinence
- Weight changes
How can a physio help in post menopause?
In post menopause, bone density loss and heart and bone health become more important.
Common personalised physio plans for post menopause include focusing on pelvic health and incontinence support; bone and joint health to ease aches and stiffness; full body strength and balance to prevent falls; and multidisciplinary care with doctors, dietitians, and other specialists.
Support for every stage of menopause
You do not have to navigate menopause and all its stages alone. At North West Healthy Women, we will craft a treatment plan for you, with care and expertise.
From pelvic health to movement and strength, our women’s health physios can help you feel your best at every stage of your life.